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ELINA YUSHUVAYEV MD, P.C.

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Company Details

Name: ELINA YUSHUVAYEV MD, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Aug 2019 (6 years ago)
Entity Number: 5605364
ZIP code: 11367
County: Queens
Place of Formation: New York
Address: 73-39 174TH STREET, FRESH MEADOWS, NY, United States, 11367
Principal Address: 222-15 Northern Blvd Lobby A, Bayside, NY, United States, 11361

Contact Details

Phone +1 718-215-0020

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ELINA YUSHUVAYEV DOS Process Agent 73-39 174TH STREET, FRESH MEADOWS, NY, United States, 11367

Chief Executive Officer

Name Role Address
ELINA YUSHUVAYEV Chief Executive Officer 222-15 NORTHERN BLVD LOBBY A, BAYSIDE, NY, United States, 11361

National Provider Identifier

NPI Number:
1114547767
Certification Date:
2020-11-12

Authorized Person:

Name:
DR. ELINA YUSHUVAYEV
Role:
ATTENDING
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6162264785

History

Start date End date Type Value
2024-11-23 2024-12-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-07 2024-11-23 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-06-05 2024-10-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-04-10 2024-06-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-10-24 2024-04-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240410004056 2024-04-10 BIENNIAL STATEMENT 2024-04-10
190815000925 2019-08-15 CERTIFICATE OF INCORPORATION 2019-08-15

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State